Table 3. Factors associated with viral suppression at one year from ART initiation, paediatric analysis using modified intention to treat method, N=1968.
Total patients | VL <1000 copies/mL | Univariate | Multivariate | |||||
---|---|---|---|---|---|---|---|---|
OR | 95%CI | p | OR | 95%CI | p | |||
| ||||||||
Age at ART initiation (years) | <0.001 | <0.001 | ||||||
<1.5 years | 569 | 364 | Ref | Ref | ||||
1.5-4 | 441 | 355 | 2.32 | (1.74, 3.11) | <0.001 | 2.33 | (1.73, 3.14) | <0.001 |
5-9 | 492 | 405 | 2.62 | (1.97, 3.50) | <0.001 | 2.79 | (2.06, 3.78) | <0.001 |
10-14 | 395 | 311 | 2.09 | (1.55, 2.80) | <0.001 | 2.32 | (1.70, 3.16) | <0.001 |
15-17 | 71 | 56 | 2.10 | (1.16, 3.81) | 0.014 | 2.34 | (1.28, 4.27) | 0.006 |
| ||||||||
Sex | ||||||||
Male | 977 | 731 | Ref | Ref | ||||
Female | 991 | 760 | 1.11 | (0.90, 1.36) | 0.333 | 1.11 | (0.89, 1.37) | 0.350 |
| ||||||||
Prior AIDS-defining illness | 0.199 | 0.613 | ||||||
No | 127 | 111 | Ref | Ref | ||||
Yes | 38 | 30 | 0.54 | (0.21, 1.38) | 0.199 | 0.78 | (0.30, 2.03) | 0.613 |
Unknown | 1803 | 1350 | 0.43 | (0.25, 0.73) | 0.002 | 0.53 | (0.31, 0.92) | 0.024 |
| ||||||||
Pre-ART CD4 % | 0.021 | <0.001 | ||||||
<10% | 396 | 291 | Ref | Ref | ||||
10-14% | 228 | 175 | 1.19 | (0.81, 1.74) | 0.366 | 1.43 | (0.97, 2.11) | 0.074 |
15-24% | 419 | 356 | 2.04 | (1.44, 2.89) | <0.001 | 2.38 | (1.67, 3.41) | <0.001 |
≥25% | 293 | 226 | 1.22 | (0.86, 1.73) | 0.274 | 1.81 | (1.24, 2.64) | 0.002 |
Missing | 632 | 443 | 0.85 | (0.64, 1.12) | 0.242 | 1.11 | (0.83, 1.49) | 0.491 |
| ||||||||
HIV mode of exposure | 0.238 | 0.164 | ||||||
Perinatal | 1592 | 1197 | 0.76 | (0.49, 1.19) | 0.238 | 0.72 | (0.46, 1.14) | 0.164 |
Sexual behaviour | 129 | 103 | Ref | Ref | ||||
Other/Unknown | 247 | 191 | 0.86 | (0.51, 1.45) | 0.575 | 0.86 | (0.50, 1.48) | 0.591 |
| ||||||||
Region | 0.083 | 0.384 | ||||||
Asia-Pacific | 229 | 185 | Ref | Ref | ||||
Caribbean, Central and South America | 60 | 49 | 1.06 | (0.51, 2.20) | 0.877 | 1.02 | (0.47, 2.21) | 0.959 |
South Africa | 1679 | 1257 | 0.71 | (0.50, 1.00) | 0.051 | 0.80 | (0.56, 1.14) | 0.217 |
Note: Values in bold represent significant covariates in the adjusted model.
Abbreviations: OR – odds ratio, 95%CI – 95% confidence interval, ART – antiretroviral therap